Individual
AUSTIN JEROME LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 ALLIANCE BLVD STE 400, PLANO, TX 75093
(469) 814-6631
(469) 814-3110
Mailing address
4700 ALLIANCE BLVD STE 400, PLANO, TX 75093-5323
(832) 444-8370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7260
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10054284
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
09/04/2018
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